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1467227371
ANTHONY BACALLAO
MIAMI, FL
NPI
1467227371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-305195)
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
ANTHONY BACALLAO
11401 SW 40TH ST
MIAMI, FL 33165-3372
Phone number: 786-502-4989
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Mailing Address
ANTHONY BACALLAO
8600 SW 44TH ST
MIAMI, FL 33155-4131
Phone number: 786-290-3595
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